Tag Archive for: OSA

6 Reasons Oral Appliance Therapy is a Great CPAP Alternative

6 Reasons why Oral Appliance Therapy is a Great CPAP Alternative

Oral appliance therapy and continuous positive airway pressure (CPAP) therapy are both effective treatment options for sleep apnea, but they have different advantages and considerations. The choice between the two depends on various factors, including the severity of sleep apnea, patient preferences, and individual circumstances. Here are 6 reasons why oral appliance therapy is a great CPAP alternative.

Advantages of Oral Appliance vs CPAP

Comfortable and Easy to use:

Most people find oral appliances more comfortable and easier to adapt to than CPAP machines. Oral appliances are custom-made devices that fit in the mouth and resemble a mouth guard or retainer. They work by repositioning the jaw and tongue in a forward position to help keep the airway open during sleep. Patients find them less intrusive and disruptive to their sleep.


Oral appliances are compact and portable, making them convenient for travel. They do not require electricity.

Reduced Side Effects:

CPAP therapy can cause side effects such as dry mouth, nasal congestion, skin irritation, or feelings of claustrophobia from wearing a mask.


Some individuals struggle with using their CPAP all night and tend to remove it after a few hours. Oral appliance therapy is be a better fit for individuals who are non-compliant with CPAP or unable to tolerate it consistently.

Mild to Moderate Sleep Apnea:

Oral appliances are recommended as a first-line treatment for mild to moderate cases of sleep apnea. They can effectively treat these cases without the need for more invasive interventions.

Co-Treatment Option:

As an adjunct treatment along with CPAP for those individuals with severe OSA and high-pressure machines. This co-treatment can allow pressures to be reduced making CPAP more comfortable and the patient more compliant with treatment.

Insurance Coverage:

Oral appliance therapy is considered durable medical equipment (DME). Comprehensive Sleep Care Center offers in-house sleep dentists that will digitally scan and fit patients with their devices. This process is billed under a patient’s medical insurance and is usually covered (minus deductible and co-pays) versus a dental office where patients may be billed thousands of dollars out of pocket.

Oral appliance therapy is a good CPAP alternative treatment option for those patients that are resistant to CPAP therapy allowing them to get the needed treatment for their obstructive sleep apnea.

If you are experiencing sleep problems visit one of our sleep medicine providers at Comprehensive Sleep Care Center. Our doctors treat over 80 types of sleep disorders such as Sleep Apnea, Insomnia, and Narcolepsy. Give us a call and Say Hello to Sleep Again…

Sleep Apnea and High Blood Pressure- A Dangerous Pair

Sleep Apnea and High Blood Pressure a Dangerous Pair

Many people think sleep apnea is as simple as loud snoring, but it’s much more than that. Sleep apnea affects many systems in the body and is associated with several serious conditions like high blood pressure.

High blood pressure puts a daily strain on the cardiovascular system which may lead to stroke, heart disease, and other serious conditions. Fortunately, managing high blood pressure with medication and lifestyle changes can reduce your risk for harmful health effects.

It’s important to understand the relationship between sleep apnea and high blood pressure because these two conditions affect one another, and treatment for sleep apnea can lower blood pressure in people who have both.

Sleep Apnea, like high blood pressure, isn’t normally something people usually detect on their own. If you have sleep apnea, you likely don’t know about it unless you’re keeping your bed partner up at night by snoring or that you are gasping in your sleep.

Obstructive sleep apnea occurs when the muscles that support the soft tissues in your throat, such as your tongue and soft palate, temporarily relax. When these muscles relax, your airway is narrowed or closed, and breathing is momentarily cut off. Individuals with sleep apnea stop breathing for short periods of time when sleeping. Pauses in breathing can last just a few seconds to a few minutes and occur as little as 5 to as many as 30 times per hour.

Every time your oxygen level drops, this raises your blood pressure and causes an adrenaline surge. This puts increased stress on your heart because it must work harder to normalize your blood pressure.

 What Is the Relationship Between Sleep Apnea and High Blood Pressure?

 In healthy individuals, blood pressure naturally lowers by between 10 and 20%  at night, a phenomenon that is sometimes referred to as “blood pressure dipping“. People with severe OSA experience blood pressure dips less than 10%, which indicates a “non-dipping” blood pressure pattern.

People who have non-dipping blood pressure at night face an increased risk for cardiovascular issues. Additionally, many patients with OSA experience a sudden and pronounced elevation of their blood pressure when they wake up in the morning. This “morning surge” is another factor that may increase risk for cardiovascular disease.  OSA doesn’t only affect blood pressure at night. Studies show that daytime blood pressure levels also increase with sleep apnea severity.

Sleep apnea is one of the most common sleep disorders in the United States. Of people diagnosed with OSA, it is estimated that around half also have high blood pressure. The good news is that treatment for sleep apnea may aid in lowering blood pressure levels.

If you are suffering from high blood pressure it may benefit you to get checked for sleep apnea. Call one of our sleep medicine professionals today and get on the road to a healthier and happier you!